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Technical Brief

NOTES Closure of Esophageal Punctures and Fistulas Using Suction Countertraction and Nitinol Clips1

[+] Author and Article Information
Robert J. Brooks

Center for Image Guided Innovation and Therapeutic
Intervention (CIGITI),
Hospital for Sick Children,
Toronto, ON M5G 1X8, Canada
e-mail: robert.brooks@sickkids.ca

Thomas Looi, James Drake

Center for Image Guided Innovation and Therapeutic
Intervention (CIGITI),
Hospital for Sick Children,
Toronto, ON M5G 1X8, Canada

Accepted and presented at the Design of Medical Devices Conference (DMD2014), Minneapolis, MN, April 7-10, 2014. DOI: 10.1115/1.4027038

Manuscript received February 21, 2014; final manuscript received March 3, 2014; published online July 21, 2014. Editor: Arthur G. Erdman.

J. Med. Devices 8(3), 030917 (Jul 21, 2014) (2 pages) Paper No: MED-14-1068; doi: 10.1115/1.4027038 History: Received February 21, 2014; Revised March 03, 2014

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References

Figures

Grahic Jump Location
Fig. 1

Tool tip attached to 5 mm endoscope

Grahic Jump Location
Fig. 2

Tool handles attached to 5 mm endoscope

Grahic Jump Location
Fig. 3

Clip firing cartridge showing telescope mechanism to prevent ramrod buckling

Grahic Jump Location
Fig. 4

Endoscope view of the tool pulling the edges of a puncture wound together in a 10 kg porcine esophagus (left) and endoscopic glare test of the tool (right)

Grahic Jump Location
Fig. 5

Clip fired through translucent silicone esophagus with 90 deg intersection angle

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